Glandular fever
Glandular fever, or infectious mononucleosis, is sometimes called the ‘kissing disease’, because it spreads by close contact and is most common in teenagers and young adults.
The disease is caused by a virus, known as Epstein-Barr virus (EBV). It often shows up as an apparent case of tonsillitis which doesn't get better as quickly as it should.
Signs and symptoms of glandular fever
Most affected people have a temperature, sore throat, and a general ‘fluey’ feeling. There is often a white, cheesy-looking covering on the tonsils.
Swollen glands are a common feature of the infection. Glands in the front and side of the neck and behind the ears are often enlarged and tender. Glands in the armpit and groin might also be affected.
Sometimes the spleen, a large organ in the upper left side of the abdomen, is enlarged.
In severe cases, the liver can be affected, causing jaundice (yellow colouration). A fine rash is often present, especially if certain antibiotics have been prescribed in the mistaken belief that the affected person has a bacterial throat infection.
Glandular fever tests and treatment
Your doctor may do some blood tests to confirm the diagnosis.
Because it is a viral infection there is no specific treatment for glandular fever. Antibiotics will not help. Rest, lots of fluids and paracetamol are the mainstay of treatment.
Most people with glandular fever are unwell for a week or 2, but may feel tired and depressed for several weeks after this. It is important to take your time in getting back to normal. Doing too much, too soon, can make things worse.
Last Reviewed: 09 June 2008
